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DR. ERIC DWAYNE ROBERSON M.D. NPI 1801816962


NPI Information

NPI: 1801816962
Provider Name: DR. ERIC DWAYNE ROBERSON, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
315 HUGHES RD
DICKINSON, TX
ZIP 77539
Phone: (832) 868-9313
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DR. Eric Dwayne Roberson, M.D. is an emergency medicine in Dickinson, TX with 29 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Eric Dwayne Roberson, M.D. NPI is 1801816962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1995

The provider's business location address is:

315 HUGHES RD
DICKINSON, TX
ZIP 77539-303
Phone: (832) 868-9313
Fax: (832) 422-9393

The NPI 1801816962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineK2109TEXASNo
2207P00000XEmergency MedicineK2109TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100892ZMEDICARE ID-TYPE UNSPECIFIEDTEXAS
28F1844MEDICARE ID-TYPE UNSPECIFIEDTEXAS
38L13334MEDICARE PINTEXAS
4141210807MEDICAIDTEXAS
5179249101MEDICAIDTEXAS
61801816962MEDICARE PINTEXAS
71801816962OTHERTEXASTRICARE
8G98976MEDICARE UPINTEXAS
9141210808MEDICAIDTEXAS
108L13333MEDICARE PINTEXAS
11141210809MEDICAIDTEXAS
121801816962OTHERTEXASBCBSTX
1300889ZMEDICARE ID-TYPE UNSPECIFIEDTEXAS
148F1840MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.